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[心包的无创成像]

[Noninvasive Imaging of Pericardium].

作者信息

Lee Bae Young

出版信息

Taehan Yongsang Uihakhoe Chi. 2020 Mar;81(2):337-350. doi: 10.3348/jksr.2020.81.2.337. Epub 2020 Mar 31.

DOI:10.3348/jksr.2020.81.2.337
PMID:36237387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9431812/
Abstract

The clinical manifestation of pericardial disease is similar to that of coronary artery disease and aortic disease. Therefore, a timely and accurate diagnosis is necessary. The pericardium is a 2-layered membrane that envelops the heart and great vessels, and there are numerous anatomic variations and pathologic conditions. Large or unusually located pericardial recesses can be easily mistaken for abnormal findings. Additionally, primary pericardial diseases resulting from infections, tumors, and injuries are possible; further, diseases can quickly spread along the pericardium. Echocardiography is generally the first imaging tool used to evaluate the pericardium. However, it has limited windows and poor resolution. Besides, the evaluation of postoperative echocardiography is sometimes limited. Currently, CT and MR imaging are useful for evaluating pericardial diseases. Detailed knowledge of the pericardium is important for interpreting the images and clinical results.

摘要

心包疾病的临床表现与冠状动脉疾病和主动脉疾病相似。因此，及时准确的诊断很有必要。心包是一层包裹心脏和大血管的双层膜，存在众多解剖变异和病理状况。大的或位置异常的心包隐窝很容易被误诊为异常发现。此外，由感染、肿瘤和损伤引起的原发性心包疾病也有可能发生；而且，疾病可迅速沿心包扩散。超声心动图通常是用于评估心包的首个影像学工具。然而，其观察窗有限且分辨率较差。此外，术后超声心动图的评估有时也存在局限性。目前，CT和磁共振成像对于评估心包疾病很有用。深入了解心包对于解读图像和临床结果很重要。

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